ArticleFrontiers in surgery2025
Comparison of isolated tenotomy vs. tenotomy with tenodesis for long head of biceps tendon in middle-aged and elderly patients undergoing rotator cuff repair: a retrospective study.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
Purpose: Rotator cuff tears (RCTs) are a prevalent source of shoulder disability, frequently accompanied by pathologies of the long head of the biceps tendon (LHBT). While both tenotomy and tenodesis are established procedures for managing LHBT lesions during rotator cuff repair, their comparative efficacy remains a subject of debate. This study aimed to compare the clinical outcomes of isolated tenotomy vs. tenotomy with tenodesis in patients undergoing arthroscopic RCTs in a retrospective study. Methods: All surgical procedures involved arthroscopic rotator cuff repair performed by a single surgeon. Patients were divided into isolated biceps tenotomy and tenotomy with tenodesis using a suture anchor. Postoperative rehabilitation was standardized. Outcomes were assessed preoperatively and at 3, 6, 12 months, and final follow-up using ASES and Constant-Murley scores, VAS pain scale, operative time, and complications. Results: A total of 63 patients (mean age 67.3 years) were retrospectively reviewed and divided into two groups: isolated tenotomy ( Conclusion: In conclusion, both isolated tenotomy and tenodesis provide equivalent, excellent functional improvements and pain relief at the 12-month follow-up. Tenotomy offers the advantages of a shorter operative time and better early pain control, at the cost of a higher risk of Popeye deformity. Tenodesis effectively prevents this cosmetic complication but requires a longer surgery.
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